1 im ts in colorado emsac november 2011 powerpoint presentation

Incident Management TeamsIncident Management TeamsIn Colorado In Colorado

Daniel Hatlestad, ParamedicEMS Captain

Inter-Canyon Fire/Rescue

Information Officer, Type 2Jefferson County IMT

Colorado Team 1

EMSAC November 2011

Southwest Colorado

IMT

IMTs in Colorado

Incident Command System Structure

IMTs in Colorado

National Incident Management System

History Of the Incident Command System

EMS and ICS: Working with IMTsObj

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NIMS

National Incident Management System

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National Response Plan (NRP)

Issued February 28, 2003, Homeland Security Presidential Directive 5 (HSPD-5), called for the creation of a National Response Plan (NRP) to “integrate Federal Government domestic prevention, preparedness, response, and recovery plans into one all-discipline, all-hazards plan”.

The purpose of the NRP is to enhance the ability of the United States to prepare for and to manage domestic incidents by establishing a single, comprehensive national approach.

National Incident Management System (NIMS)

Under the NRP, a National Incident Management System (NIMS) will be developed to provide a consistent nationwide framework to standardize incident management practices and procedures to ensure that Federal, State, and local governments can work effectively and efficiently together to prepare for, respond to, and recover from domestic incidents, regardless of cause, size, or complexity.

NIMS adopted the basic tenets of the Incident Command System (ICS) as its foundation.

History of ICS

History Of the Incident Command System

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Incident Command System

ICS is a well organized, team approach for managing critical incidents. It has the following hallmarks:

1. Manageable Span of Control

2. Common Terminology

3. Modular/Scalable Organization

4. Integrated Communications

5. Unified Command Structure

6. Consolidated Action Plans

7. Pre-designated Command Centers

8. Comprehensive Resource Management

Incident Command System History

The Incident command System (ICS) was developed in response to a series of fires in Southern California in the early 1970s by an interagency effort called FIRESCOPE.

ICS Based in Wildfire

ICS was designed to manage rapidly moving wildfires and to address reoccurring problems:

Too many people reporting to one supervisor

Different emergency response organizational structure

Lack of reliable incident information

Inadequate and incompatible communications

While the ICS was designed to manage rapidly moving wildfires, the system has been widely adopted by many public service agencies/NIMS/FEMA for response to disasters of all kinds

ICS Adaptation

ICS Structure

Incident Command System Structure

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ICS Essential Requirements

The designers of ICS had four essential requirements:

1. The system must be organizationally flexible to meet the needs of incidents of any kind and size.

2. Agencies must be able to use the system on a day-to-day basis as well as for major emergencies.

3. The system must be sufficiently standardized to allow personnel from a variety of agencies and diverse geographic locations to rapidly meld into a common management structure.

4. The system must be cost effective.

Goals of ICS

Local, state, federal cooperationInteragency coordinationEnhanced communicationInteroperabilityUnified commandPersonnel accountabilityOperational effectivenessCitizen and Responder safetyUse existing capabilities/competencies

Incident Command System – Modular Organization

Organizational structure…

Develops top-down, from first-in unit.

Is based on incident’s management needs.

Is always staffed with a designated IC; other functions staffed as needed.

Capable of rapid expansion to meet the needs of the authorizing agency.

Incident Command System

IncidentCommander Command

Information

Safety

LiaisonCommandStaff

Operations Planning Logistics Finance

GeneralStaff

COMMAND• Has incident responsibility

event• Command Staff includes

Information, Safety & Liaison

OPERATIONS• Directs all resources• Conducts tactical

operationsPLANNING• Develops the action plan

to accomplish the objective

LOGISTICS• Provides support to meet

incident needsFINANCE/ADMINISTRATION• Monitors costs, time and

procurement related to incident

ICS Organization

BRANCH

DIVISIONS & GROUPS

BRANCH

GROUP

STRIKE TEAMS & TASK FORCES

RESOURCES UNIT

SITUATION UNIT

DEMOBILIZATION UNIT

DOCUMENTATION UNIT

INTELLIGENCE AND INFORMATION UNIT

TECHNICAL SPECIALISTS

TIME UNIT

PROCUREMENT UNIT

COMPENSATION

COST UNIT

SERVICE BRANCH

COMMUNICATIONS

MEDICAL

FOOD

SUPPORT BRANCH

SUPPLY

FACILITIES

GROUND SUPPORT

COMMAND

OPERATIONS LOGISTICS PLANNING FINANCE

PIO

SAFETY

LIAISON

RESOURCES

The Incident Management Team

An IMT is an overhead team consisting of the Command and General Staff positions of the ICS organization. A scalable group of specially trained & experienced individuals who work with the existing organization for the command, control, coordination, support and/or management of the incident organization & resources with maximum effectiveness, efficiency, and safety.

Need: Any incident which exceeds the capabilities of local resources Any incident expanding beyond Operations Any incident lasting longer than one operational period

Incident/Threat

Notification

Initial Response & Assessment

Agency Administrator Briefing (If Appropriate)

Incident Briefing ICS 201

Initial UC Meeting (If Unified

Command)

IC/UC Sets Initial Incident

Objectives

Initial Strategy Meeting &

Information Sharing

Info

rmat

ion

Gat

her

ing

&

Sh

arin

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Init

ial R

esp

on

se

IC/UC Validate or

Adjust Objectives

Strategy Meeting If Objectives Adjusted

Execute Plan &

Assess Progress

Begin Operational

Period

Operational Period

Briefing

IAP Preparation & Approval

Planning Meeting

Preparing for Planning Meeting

Tactics Meeting

Information Gathering and Sharing

Information Gathering and Sharing

The Planning “P”

• Command manages the organization whereas Operations manages the incident.

• Subsequently, the IMT focuses on assisting with the management of the organization.

• Planning for each operational period (typically 12 hours) is a critical function of the IMT.

• The Plans group produces the Incident Action Plan (IAP).

The Incident Action Plan

Step 1: Understand agency policy and direction.Step 2: Assess incident situation.Step 3: Establish incident objectives.Step 4: Select appropriate strategy or strategies to achieve objectives.Step 5: Perform tactical direction (applying tactics appropriate to the

strategy, assigning the resources, and monitoring performance).Step 6: Provide necessary followup (changing strategy or tactics, adding or

subtracting resources, etc.).

Management by ObjectivesAll levels of a growing ICS organization must have a clear understanding of the functional actions required to manage the incident. Management by objectives is an approach used to communicate actions throughout the entire ICS organization. It can be accomplished through the Incident Action Plan, which includes the following steps:

National or State levelNational or State level

National or State levelNational or State level

State or metro area levelState or metro area level

City or county levelCity or county level

Single incident levelSingle incident level

Incident Management Team Types

Types 1 IMTs – 35-50 members

A self-contained, all-hazard or wildland team recognized at the National and State level, coordinated through the State, Geographic Area Coordination Center, or National Interagency Fire Center.

Multiple operational periods

Written Incident Action Plan

Incident Personnel > 500• California (5)• Pacific NW (2)• Alaska• Northern Rockies (2)• Great Basin (2)

• Rocky Mountain• Southwest (2)• Southern (2)• NIMO (2)

Type 2 IMTs – 20-35 members

A self-contained, all-hazard or wildland team recognized at the National and State level, coordinated through the State, Geographic Area Coordination Center, or National Interagency Fire Center.

Multiple operational periods

Written IAP

Incident Personnel < 500

Approximately 35 Nationally certified Type 2 teams in the U.S.

Type 3 IMTs – 12-20 members

State or Regional multi-agency/ multi-jurisdiction team for extended incidents

May be used at incidents such as a tornado touchdown, wildfires, earthquake, flood, multi-day hostage/standoff situation, or at large planned events.

2+ operational periods

Written IAP

Colorado currently has three certified Type 3 teams and additional teams are working toward certification by the state.

Type 4 IMT – 7-10 members

A single and/or multi-agency team for expanded incidents, typically formed and managed at the city, township or county level or by a pre-determined local or regional entity.

1 operational period

No written Incident Action Plan

Commonly formed during mutual aid responses with Command staff from many organizations.

Type 5 IMTs – 2-5 members

Often a discipline specific response (i.e. fire, law) of 2-5 command level officers that provide the Incident Commander with support (command mutual aid). 1 operational period

No written Incident Action Plan

Type 5 teams typically take shape when an individual identifies themselves as Incident Command.

What is an All-Hazards Incident Management Team?

Designed to serve not only in wildfires, but in all major incidents, an AHIMT is a team comprised of:

Personnel from single or multiple agencies and jurisdictions Community resources Law enforcement, fire, EMS, public health, schools

heathcare facilities, industry

When to begin thinking about calling the IMT

You may run into a second operational period You have more resources than you normally manage or

feel comfortable safely managing. You have heavy media attention. You are activating multiple mutual aid operational assets,

you automatically have: • Commensurate overhead needs• Increased resource accountability demand• Increased communication demands• Increased documentation requirements• Increased risks

May be used in…

• Planned events

• Emergencies

• Disasters (natural, human-made, etc.)

• Classified / Sensitive / High Visibility situations

When can an IMT be used?

Tornado

2,000+ Injured…

600 Structures destroyed, including the local hospital, 1500+ homes and businesses damaged

Neighboring Counties also damaged – mutual aid not available.

Hazardous Materials

Is your system prepared to:

Operate for 5-10 days?

Evacuate 3,000+ citizens?

Support 20+ Mutual Aid Fire Departments, ambulances, Haz-Mat units for several days?

Supply 300+ gallons of fuel per hour?

Assemble 50+ EMS units?

Floods

200+ Injured…

300 Structures destroyed, including the fire station, police department, 1500+ homes and businesses damaged

Neighboring Counties also damaged – mutual aid not available.

Major Building Collapse

Do you have a Plan…

First 5 minutes?

First 3 hours?

First 6 hours?

Multiple operational periods for search, rescue and recovery?

MCI with prolonged Operations

How many responders can you How many responders can you quickly assemble?quickly assemble?

Could you request 30 - 50 Could you request 30 - 50 ambulances?ambulances?

Disease Outbreak

Cannot be managed with local resources Multiple patients Special hazards

• Chemical• Radiological• Biological

Mass Immunizations Evacuations Prolonged recovery

Blizzards

Local resources may be unable to respond Evacuation of healthcare facilities Transport

• Food• Fuel• Medication

Animal feeding Mobilization of state resources Snow removal

IMTs in Colorado

IMTs in Colorado

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Colorado Type III IMTs

Type 3 IMTs in Colorado:1.Are certified by the Colorado Division of Fire Safety2.Have multiple staff in each position3.Have members qualified at Type 3, 2 and 1 positions4.Work together to staff large incidents5.Are deployed to assist other states with large incidents

Colorado Type III IMTs

This initiative is designed to:Strategically locate teams throughout the state.Provide incident management for state level disasters. Management of an incident until arrival of Type 1 or 2 team.Prepare team personnel for all-hazard incidents. Deploy IMT personnel when local jurisdictions are overwhelmed or incidents with a prolonged operational periods.

Colorado IMTs

Colorado is a recognized national leader in the development and utilization of Type III All-Hazards Incident Management Teams. The teams include members from law enforcement, EMS, fire, public health, school systems, and industry. The teams have in-depth coverage of all command positions - allowing for prolonged assignments. The teams have been deployed during the blizzards in SE Colorado, Alamosa Salmonella outbreak, Windsor tornado, DNC convention, the Rainbow Family gathering on U.S.F.S. property and various wildland fires throughout Colorado.Southwest

Colorado IMT

Activation of the Colorado IMTs

Activation of the IMT by local agency - Contact CDEM•Type of Incident•Support needed•Location of incident•Extent of incident•Contact names, phone numbers

Confirmation of team response within minutes

What will the IMT want from me?

ICS 201-type information What resources are on the scene Where are the resources What is the current organization What is the current situation

• Objectives & Strategies Scene sketch, if available

The IMT will want to know who it works for (AHJ) and what its assignments are (Delegation of Authority).

The Delegation of Authority is critical as it outlines resources, finances, goals, limitations, and constraints. The Delegation of Authority requires politicians.

Transition to the IMT

The IMT responds with:•Overhead management team with trained and skilled multi-service Command and General staff.•Communications equipment and van for multi-system radio links.•Self-supporting offices.

What will the IMT do upon arrival?

Immediate ActionsCheck in with Incident Commander

Receive briefing from Incident Command

The IMT will brief and assign their staff

Establish IMT objectives that support the mission as assigned by the IC

• Support & fortify Resources Management

• Support & fortify Communications

• Support & Fortify Responder Health & Safety

• Support & fortify the Planning Cycle

Transition from Local to IMT

Transition is the most challenging and dangerous timeDelegation of Authority from Agency Having Jurisdiction (AJD)Identification of Resources in the field and at the Incident Command PostCommunications planIntegration of IMT with local resources

Transfer of command occurs when: Typically at the beginning of an

Operational Period The incident situation changes

over time, resulting in a legal requirement to change command.

There is normal turnover of personnel on extended incidents.

The incident response is concluded and responsibility is transferred to the home agency.

Transfer of Command

Command Structures

Single Command One commander for

entire incident Works well for:

• Short duration incidents

• Limited jurisdictions Does not work well for:

• Overlapping responsibilities

• Overlapping jurisdictions

• Incidents that evolve over time

Unified Command Agency command

personnel unify Right agency at right

time Stimulates cooperation Provides for balanced

decision-making Maintains

• Adequate span of control

• Unity of command

Unified Command – Local and IMT

Enables all responsible agencies to manage an incident together by establishing a common set of incident objectives and strategies.

Allows Incident Commanders to make joint decisions by establishing a single command structure.

Maintains unity of command. Each employee only reports to one supervisor.

Incident Command Post

Agency 1 Agency 2 Agency 3

Agency 1 Incident

Commander

Agency 2 Incident

Commander

Agency 3 Incident

Commander

EMS and ICS

EMS and ICS: Working with IMTsObj

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Our World Has Changed!

Are You Prepared To Meet These New Challenges !

Shanksville, a small community in western Pennsylvania, was also impacted on 9/11

New York City has robust EMS, fire, and MCI capability. NYC used multiple IMTs in the days following 9/11

EMS In Major Incidents

Effective C3 begins with first unit Establish command Do NOT treat patients START Triage

EMS in ICS Organization

BranchesBranches Air OpsBranchAir OpsBranch

DivisionsDivisions GroupsGroups

Operations SectionOperations Section

Single ResourceSingle Resource

Task ForceTask Force

Strike TeamStrike Team

ResourcesUnitResourcesUnit

Planning SectionPlanning Section

Demob.UnitDemob.Unit

SituationUnitSituationUnit

Doc.UnitDoc.Unit

Logistics SectionLogistics Section Finance/Admin.SectionFinance/Admin.Section

TimeUnitTimeUnit

CompensationClaims UnitCompensationClaims Unit

ProcurementUnitProcurementUnit

Cost UnitCost Unit

Incident CommanderIncident Commander

Public InformationOfficerPublic InformationOfficer

LiaisonOfficerLiaisonOfficer

SafetyOfficerSafetyOfficer

Commun.UnitCommun.Unit

MedicalUnitMedicalUnit

FoodUnitFoodUnit

ServiceBranchServiceBranch

SupportBranchSupportBranch

SupplyUnitSupplyUnit

FacilitiesUnitFacilitiesUnit

GroundSupportUnit

GroundSupportUnit

2-28/31

EMS in Medical Unit

EMS in ICS Organization

BranchesBranches Air OpsBranchAir OpsBranch

DivisionsDivisions GroupsGroups

Operations SectionOperations Section

Single ResourceSingle Resource

Task ForceTask Force

Strike TeamStrike Team

ResourcesUnitResourcesUnit

Planning SectionPlanning Section

Demob.UnitDemob.Unit

SituationUnitSituationUnit

Doc.UnitDoc.Unit

Logistics SectionLogistics Section Finance/Admin.SectionFinance/Admin.Section

TimeUnitTimeUnit

CompensationClaims UnitCompensationClaims Unit

ProcurementUnitProcurementUnit

Cost UnitCost Unit

Incident CommanderIncident Commander

Public InformationOfficerPublic InformationOfficer

LiaisonOfficerLiaisonOfficer

SafetyOfficerSafetyOfficer

Commun.UnitCommun.Unit

MedicalUnitMedicalUnit

FoodUnitFoodUnit

ServiceBranchServiceBranch

SupportBranchSupportBranch

SupplyUnitSupplyUnit

FacilitiesUnitFacilitiesUnit

GroundSupportUnit

GroundSupportUnit

EMS in Operations

ICS – EMS in Operations

L aw E n forcem en t B ran ch

S tag in g

Triag e S ou th

Trea tm en t S ou th

Tran sp ort S ou th

D ep u ty S ou th

Triag e C en tra l

Trea tm en t C en tra l

Tran sp ort C en tra l

D ep u ty C en tra l

Triag e N orth

Trea tm en t N orth

Tran sp ort N orth

D ep u ty N orth

E M S B ran ch F ireR escu e B ran ch

O p era tion s

C om m an d

IMS Terminology

Division = A geographical subdivision of an incident (North Division, Interior Division)

Group = A functional subdivision of an incident (Suppression Group, Rescue Group, EMS Group, Ventilation Group)

Division vs. Group

IMS Terminology

Single Resource = One of anything (ambulance, fire engine, rescue truck) plus required staff

Task Force = Combination of single resources assembled for specific mission (battalion chief, EMS supervisor, engine, truck, heavy rescue, ambulance)

Strike Team = Set of single resources of same kind plus leader in vehicle (EMS supervisor and 5 ambulances)

EMS Branch Director

Declare major incident Perform size-up Priorities

Life Safety Incident Stabilization (stable vs. unstable) Property Conservation

Request appropriate assistance – consider IMT Designate staging area Designate treatment area(s) Coordinate with other agencies as Unified Command Direct EMS activities until relieved

Triage

Coordinate patient removal from danger with rescue/extrication personnel

Provide Command with updates Identify/correct life-threats without slowing triage Assess, categorize, tag Coordinate “hazard zone” activities Continuously retriage

Staging

Identify safe location for vehicle staging Assure access routes Assure orderly parking, traffic flow Categorize units, capabilities Assign units as requested Inform Command of status

Treatment

Locate treatment areas, advise Command and Triage Evaluate resources needed for treatment Assign, coordinate treatment personnel Maintain Morgue, Rehab units as needed Inform Command of status Inform Command of available staff

Transport

Establish transport area(s) Request ambulances from staging Coordinate transport of patients with dispatch or command

hospital Direct transport to appropriate facilities Main records of patient destinations Inform Command of status

Incident Command System - EMS

EMSBranch Director

StagingOfficer

TransportOfficer

TreatmentOfficer

TriageOfficer

Hospitals

Dispatch

Movement

Communication

IMTs in Colorado

Incident Command System Structure

IMTs in Colorado

National Incident Management System

History Of the Incident Command System

EMS and ICS: Working with IMTsObj

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I’m with the IMT and I’m Here to Help… No really, I am

Incident Management TeamsIncident Management TeamsIn Colorado In Colorado

Daniel Hatlestad

[email protected]

EMSAC November 2011

Southwest Colorado

IMT